{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T21:56:18Z","timestamp":1781646978948,"version":"3.54.5"},"reference-count":43,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,4,2]],"date-time":"2026-04-02T00:00:00Z","timestamp":1775088000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,4,2]],"date-time":"2026-04-02T00:00:00Z","timestamp":1775088000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/100010061","name":"University of Waikato","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100010061","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Eur J Orthop Surg Traumatol"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Compare patient-reported outcome measures (PROMs) of two cemented implants in primary total hip arthroplasty (THA) for osteoarthritis in a New Zealand regional joint registry. Identify patient predictors of poorer PROMs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      We analysed observational data from primary THA surgeries for osteoarthritis performed between 1 January 2003 and 30 June 2023, with at least one recorded PROM (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20091365) from a regional joint registry. We compared preoperative, 1-year, 5-year, and 10-year PROMs in the cemented, highly crosslinked polyethylene Exeter\n                      <jats:sup>\u00ae<\/jats:sup>\n                      X3 Rimfit cup (Rimfit) and its conventional polyethylene predecessor, the Exeter\n                      <jats:sup>\u00ae<\/jats:sup>\n                      Contemporary Flanged cup (ECF) with the same cemented Exeter\n                      <jats:sup>\u00ae<\/jats:sup>\n                      V40 stem. We investigated six patient factors and their influence on physical function, and mental and physical health PROMs.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>No significant difference in physical function PROMs were noted between implants at any timepoint. Both implant combinations exhibited excellent (&gt;\u200941) mean postoperative Oxford hip scores based on published thresholds (Rimfit: mean 41.30\u2009\u00b1\u2009SD 8.46; ECF: mean 41.64\u2009\u00b1\u2009SD 8.67). Mental health was significantly better preoperatively and at 1-year and 5-year with the Rimfit based on Veterans RAND 12-Item Health Survey. Public funding was a significant and clinically meaningful predictor of poorer preoperative outcomes in all PROMs and in both cohorts, followed by comorbidity status. The strongest significant predictor of poorer postoperative PROMs was poorer preoperative PROMs, followed by M\u0101ori ethnicity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Both implant combinations demonstrated similar PROMs up to 10 years, but the Rimfit exhibited superior mental health. Public funding, comorbidity status, and M\u0101ori ethnicity were predictors of statistically significant and clinically meaningful poorer preoperative and postoperative PROMs.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00590-026-04734-w","type":"journal-article","created":{"date-parts":[[2026,4,2]],"date-time":"2026-04-02T04:13:50Z","timestamp":1775103230000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Patient-reported outcome measure comparison of two cemented primary total hip arthroplasty implant combinations for osteoarthritis: a regional New Zealand study"],"prefix":"10.1007","volume":"36","author":[{"given":"Amy","family":"Pearce","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chaitanya","family":"Joshi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Georgina","family":"Chan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tony","family":"Lamberton","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simon","family":"MacLean","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Vane","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kim","family":"H\u00e9bert-Losier","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,4,2]]},"reference":[{"issue":"10172","key":"4734_CR1","doi-asserted-by":"publisher","first-page":"647","DOI":"10.1016\/S0140-6736(18)31665-9","volume":"393","author":"JT Evans","year":"2019","unstructured":"Evans JT, Evans JP, Walker RW et al (2019) How long does a hip replacement last? A systematic review and meta-analysis of case series and national registry reports with more than 15 years of follow-up. Lancet 393(10172):647\u2013654. https:\/\/doi.org\/10.1016\/S0140-6736(18)31665-9","journal-title":"Lancet"},{"issue":"1","key":"4734_CR2","doi-asserted-by":"publisher","first-page":"388","DOI":"10.1007\/s00402-025-06007-3","volume":"145","author":"A Pearce","year":"2025","unstructured":"Pearce A, Butcher A, Hebert-Losier K (2025) Outcomes of cemented and hybrid primary total hip arthroplasty for osteoarthritis: a systematic review with narrative synthesis. Arch Orthop Trauma Surg 145(1):388. https:\/\/doi.org\/10.1007\/s00402-025-06007-3","journal-title":"Arch Orthop Trauma Surg"},{"issue":"1","key":"4734_CR3","doi-asserted-by":"publisher","first-page":"18","DOI":"10.1016\/J.JJOISR.2022.12.004","volume":"1","author":"S Yamate","year":"2023","unstructured":"Yamate S, Hamai S, Lyman S et al (2023) Clinical evaluation of hip joint diseases: total hip arthroplasty to support patients\u2019 quality of life. J Joint Surg Res 1(1):18\u201325. https:\/\/doi.org\/10.1016\/J.JJOISR.2022.12.004","journal-title":"J Joint Surg Res"},{"issue":"20","key":"4734_CR4","doi-asserted-by":"publisher","first-page":"e38832","DOI":"10.1016\/j.heliyon.2024.e38832","volume":"10","author":"E Quiceno","year":"2024","unstructured":"Quiceno E, Correa CD, Tamayo JA et al (2024) Statistical models and implant customization in hip arthroplasty: seeking patient satisfaction through design. Heliyon 10(20):e38832. https:\/\/doi.org\/10.1016\/j.heliyon.2024.e38832","journal-title":"Heliyon"},{"issue":"1S","key":"4734_CR5","doi-asserted-by":"publisher","first-page":"103457","DOI":"10.1016\/j.otsr.2022.103457","volume":"109","author":"J Langlois","year":"2023","unstructured":"Langlois J, Hamadouche M (2023) What have we learned from 20 years of using highly crosslinked PE in total hip arthroplasty? Orthop Traumatol Surg Res 109(1S):103457. https:\/\/doi.org\/10.1016\/j.otsr.2022.103457","journal-title":"Orthop Traumatol Surg Res"},{"key":"4734_CR6","doi-asserted-by":"publisher","unstructured":"Kalairajah Y, Azurza K, Hulme C et al (2005) Health outcome measures in the evaluation of total hip arthroplasties: a comparison between the Harris hip score and the Oxford hip score. J Arthroplasty 20(8):1037\u20131041. https:\/\/doi.org\/10.1016\/j.arth.2005.04.017","DOI":"10.1016\/j.arth.2005.04.017"},{"issue":"3","key":"4734_CR7","doi-asserted-by":"publisher","first-page":"307","DOI":"10.1302\/0301-620X.98B3.35901","volume":"98B","author":"JL Maggs","year":"2016","unstructured":"Maggs JL, Smeatham A, Whitehouse SL et al (2016) The exeter contemporary flanged cemented acetabular component in primary total hip arthroplasty. Bone Joint J 98B(3):307\u2013312. https:\/\/doi.org\/10.1302\/0301-620X.98B3.35901","journal-title":"Bone Joint J"},{"key":"4734_CR8","doi-asserted-by":"publisher","DOI":"10.1177\/11207000251371132","author":"A Pearce","year":"2025","unstructured":"Pearce A, Joshi C, Chan G et al (2025) Fifteen-year patient-reported outcomes of a cemented flanged cup and stem combination in primary total hip arthroplasty: a New Zealand study. HIP Int. https:\/\/doi.org\/10.1177\/11207000251371132","journal-title":"HIP Int"},{"issue":"6","key":"4734_CR9","doi-asserted-by":"publisher","first-page":"3597","DOI":"10.1007\/s00402-022-04610-2","volume":"143","author":"AB Boyle","year":"2023","unstructured":"Boyle AB, Zhu M, Frampton C et al (2023) Comparing modern uncemented, hybrid and cemented implant combinations in older patients undergoing primary total hip arthroplasty. A New Zealand joint registry study. Arch Orthop Trauma Surg 143(6):3597\u20133604. https:\/\/doi.org\/10.1007\/s00402-022-04610-2","journal-title":"Arch Orthop Trauma Surg"},{"key":"4734_CR10","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-025-06092-4","author":"A Pearce","year":"2025","unstructured":"Pearce A, Joshi C, Chan G et al (2025) 10-Year survival comparison of two cemented implants in primary total hip arthroplasty for osteoarthritis\u2014a New Zealand regional study. Arch Orthop Trauma Surg. https:\/\/doi.org\/10.1007\/s00402-025-06092-4","journal-title":"Arch Orthop Trauma Surg"},{"issue":"11","key":"4734_CR11","doi-asserted-by":"publisher","first-page":"1450","DOI":"10.1302\/0301-620X.99B11.BJJ-2017-0138.R1","volume":"99\u2013B","author":"PJTS van Winterswijk","year":"2017","unstructured":"vanWinterswijk PJTS, Whitehouse SL, Timperley AJ et al (2017) The rim cutter does not show an advantage over modern cementing techniques: a five-year radiological and clinical follow-up of the rim cutter used with flanged acetabular components. Bone Joint J 99\u2013B(11):1450\u20131457. https:\/\/doi.org\/10.1302\/0301-620X.99B11.BJJ-2017-0138.R1","journal-title":"Bone Joint J"},{"issue":"8","key":"4734_CR12","doi-asserted-by":"publisher","first-page":"1037","DOI":"10.1016\/J.ARTH.2005.04.017","volume":"20","author":"Y Kalairajah","year":"2005","unstructured":"Kalairajah Y, Azurza K, Hulme C et al (2005) Health outcome measures in the evaluation of total hip arthroplasties. A comparison between the Harris Hip Score and the Oxford Hip Score. J Arthroplasty 20(8):1037\u20131041. https:\/\/doi.org\/10.1016\/J.ARTH.2005.04.017","journal-title":"J Arthroplasty"},{"key":"4734_CR13","volume-title":"RStudio: integrated development environment for R. Posit software","author":"T Posit","year":"2023","unstructured":"Posit T (2023) RStudio: integrated development environment for R. Posit software. PBC, Boston, MA"},{"issue":"10","key":"4734_CR14","doi-asserted-by":"publisher","first-page":"e296","DOI":"10.1371\/journal.pmed.0040296","volume":"4","author":"E von Elm","year":"2007","unstructured":"von Elm E, Altman DG, Egger M et al (2007) The strengthening the reporting of observational studies in epidemiology (STROBE) statement: guidelines for reporting observational studies. PLoS Med 4(10):e296. https:\/\/doi.org\/10.1371\/journal.pmed.0040296","journal-title":"PLoS Med"},{"key":"4734_CR15","doi-asserted-by":"publisher","first-page":"35","DOI":"10.2147\/ORR.S349268","volume":"14","author":"J Molino","year":"2022","unstructured":"Molino J, Harrington J, Racine-Avila J et al (2022) Deconstructing the minimum clinically important difference (MCID). Orthop Res Rev 14:35\u201342. https:\/\/doi.org\/10.2147\/ORR.S349268","journal-title":"Orthop Res Rev"},{"issue":"4","key":"4734_CR16","doi-asserted-by":"publisher","first-page":"702","DOI":"10.1097\/CORR.0000000000002434","volume":"481","author":"DG Deckey","year":"2023","unstructured":"Deckey DG, Verhey JT, Christopher ZK et al (2023) Discordance abounds in minimum clinically important differences in THA: a systematic review. Clin Orthop Relat Res 481(4):702\u2013714. https:\/\/doi.org\/10.1097\/CORR.0000000000002434","journal-title":"Clin Orthop Relat Res"},{"issue":"1","key":"4734_CR17","doi-asserted-by":"publisher","first-page":"73","DOI":"10.1016\/J.JCLINEPI.2014.08.009","volume":"68","author":"DJ Beard","year":"2015","unstructured":"Beard DJ, Harris K, Dawson J et al (2015) Meaningful changes for the Oxford hip and knee scores after joint replacement surgery. J Clin Epidemiol 68(1):73. https:\/\/doi.org\/10.1016\/J.JCLINEPI.2014.08.009","journal-title":"J Clin Epidemiol"},{"issue":"9","key":"4734_CR18","doi-asserted-by":"publisher","first-page":"512","DOI":"10.1302\/2046-3758.129.BJR-2023-0070.R2","volume":"12","author":"B Langenberger","year":"2023","unstructured":"Langenberger B, Schrednitzki D, Halder AM et al (2023) Predicting whether patients will achieve minimal clinically important differences following hip or knee arthroplasty. Bone Joint Res 12(9):512\u2013521. https:\/\/doi.org\/10.1302\/2046-3758.129.BJR-2023-0070.R2","journal-title":"Bone Joint Res"},{"issue":"9","key":"4734_CR19","doi-asserted-by":"publisher","first-page":"2458","DOI":"10.1016\/j.arth.2020.04.034","volume":"35","author":"MGH Yeo","year":"2020","unstructured":"Yeo MGH, Goh GS, Chen JY et al (2020) Are Oxford hip score and western Ontario and McMaster Universities Osteoarthritis Index useful predictors of clinical meaningful improvement and satisfaction after total hip arthroplasty? J Arthroplasty 35(9):2458\u20132464. https:\/\/doi.org\/10.1016\/j.arth.2020.04.034","journal-title":"J Arthroplasty"},{"issue":"1","key":"4734_CR20","doi-asserted-by":"publisher","first-page":"12","DOI":"10.1007\/s00268-017-4169-2","volume":"42","author":"AR Aspari","year":"2018","unstructured":"Aspari AR, Lakshman K (2018) Effects of pre-operative psychological status on post-operative recovery: a prospective study. World J Surg 42(1):12\u201318. https:\/\/doi.org\/10.1007\/s00268-017-4169-2","journal-title":"World J Surg"},{"issue":"1","key":"4734_CR21","doi-asserted-by":"publisher","first-page":"457","DOI":"10.1186\/s13018-022-03355-3","volume":"17","author":"JP O\u2019Connor","year":"2022","unstructured":"O\u2019Connor JP, Holden P, Gagnier JJ (2022) Systematic review: preoperative psychological factors and total hip arthroplasty outcomes. J Orthop Surg Res 17(1):457. https:\/\/doi.org\/10.1186\/s13018-022-03355-3","journal-title":"J Orthop Surg Res"},{"issue":"9","key":"4734_CR22","doi-asserted-by":"publisher","first-page":"1052","DOI":"10.1302\/0301-620X.104B9.BJJ-2022-0013.R1","volume":"104\u2013B","author":"CM Penfold","year":"2022","unstructured":"Penfold CM, Judge A, Sayers A et al (2022) Temporal trends in comorbidity in adult elective hip and knee arthroplasty patients in England: a national population-based cohort study from the National Joint Registry. Bone Joint J 104\u2013B(9):1052\u20131059. https:\/\/doi.org\/10.1302\/0301-620X.104B9.BJJ-2022-0013.R1","journal-title":"Bone Joint J"},{"issue":"5","key":"4734_CR23","doi-asserted-by":"publisher","first-page":"543","DOI":"10.1111\/anae.16529","volume":"80","author":"L Reisinger","year":"2025","unstructured":"Reisinger L, Cozowicz C, Poeran J et al (2025) Trends in comorbidities and complications among patients undergoing elective total hip and knee arthroplasty in the USA. Anaesthesia 80(5):543\u2013550. https:\/\/doi.org\/10.1111\/anae.16529","journal-title":"Anaesthesia"},{"issue":"7","key":"4734_CR24","doi-asserted-by":"publisher","first-page":"783","DOI":"10.1302\/0301-620X.105B7.BJJ-2023-0078.R1","volume":"105\u2013B","author":"PN Karayiannis","year":"2023","unstructured":"Karayiannis PN, Warnock M, Cassidy R et al (2023) The painful truth of waiting for hip and knee arthroplasty in Northern Ireland: a cohort study of the worst NHS waiting lists for elective hip and knee arthroplasty. Bone Joint 105\u2013B(7):783\u2013794. https:\/\/doi.org\/10.1302\/0301-620X.105B7.BJJ-2023-0078.R1","journal-title":"Bone Joint"},{"key":"4734_CR25","doi-asserted-by":"publisher","first-page":"11","DOI":"10.1016\/j.jor.2023.03.011","volume":"39","author":"TA Hoelen","year":"2023","unstructured":"Hoelen TA, Schotanus M, van Kuijk S et al (2023) The relation between socioeconomic status and patient symptoms before and one year after lower extremity arthroplasty. J Orthop 39:11\u201317. https:\/\/doi.org\/10.1016\/j.jor.2023.03.011","journal-title":"J Orthop"},{"issue":"1","key":"4734_CR26","doi-asserted-by":"publisher","first-page":"36","DOI":"10.1186\/s42836-022-00137-4","volume":"4","author":"P Alvarez","year":"2022","unstructured":"Alvarez P, McKeon J, Spitzer A et al (2022) Socioeconomic factors affecting outcomes in total knee and hip arthroplasty: a systematic review on healthcare disparities. Arthroplasty 4(1):36. https:\/\/doi.org\/10.1186\/s42836-022-00137-4","journal-title":"Arthroplasty"},{"issue":"1","key":"4734_CR27","doi-asserted-by":"publisher","first-page":"19","DOI":"10.1186\/s42836-023-00172-9","volume":"5","author":"B Zhang","year":"2023","unstructured":"Zhang B, Rao S, Mekkawy KL et al (2023) Risk factors for pain after total hip arthroplasty: a systematic review. Arthroplasty 5(1):19. https:\/\/doi.org\/10.1186\/s42836-023-00172-9","journal-title":"Arthroplasty"},{"issue":"5","key":"4734_CR28","doi-asserted-by":"publisher","first-page":"640","DOI":"10.1016\/J.JOCA.2009.12.010","volume":"18","author":"P J\u00fcni","year":"2010","unstructured":"J\u00fcni P, Low N, Reichenbach S et al (2010) Gender inequity in the provision of care for hip disease: population-based cross-sectional study. Osteoarthr Cartil 18(5):640\u2013645. https:\/\/doi.org\/10.1016\/J.JOCA.2009.12.010","journal-title":"Osteoarthr Cartil"},{"issue":"12","key":"4734_CR29","doi-asserted-by":"publisher","first-page":"3004","DOI":"10.1016\/j.arth.2024.05.062","volume":"39","author":"S Grant","year":"2024","unstructured":"Grant S, Pincus D, Ruangsomboon P et al (2024) Sex differences in complications following total hip arthroplasty: apopulation-based study. J Arthroplasty 39(12):3004\u20133008. https:\/\/doi.org\/10.1016\/j.arth.2024.05.062","journal-title":"J Arthroplasty"},{"key":"4734_CR30","doi-asserted-by":"publisher","unstructured":"Solarino G, Bizzoca D, Moretti AM et al (2022) Sex and gender-related differences in the outcome of total hip arthroplasty: a current concepts review. Medicina (Kaunas) 58(12):1702. https:\/\/doi.org\/10.3390\/medicina58121702","DOI":"10.3390\/medicina58121702"},{"issue":"3","key":"4734_CR31","doi-asserted-by":"publisher","first-page":"517","DOI":"10.1016\/j.artd.2020.06.012","volume":"6","author":"AP Patel","year":"2020","unstructured":"Patel AP, Gronbeck C, Chambers M et al (2020) Gender and total joint arthroplasty: variable outcomes by procedure type. Arthroplast Today 6(3):517\u2013520. https:\/\/doi.org\/10.1016\/j.artd.2020.06.012","journal-title":"Arthroplast Today"},{"issue":"7","key":"4734_CR32","doi-asserted-by":"publisher","first-page":"e021784","DOI":"10.1136\/bmjopen-2018-021784","volume":"8","author":"B Podmore","year":"2018","unstructured":"Podmore B, Hutchings A, van der Meulen J et al (2018) Impact of comorbid conditions on outcomes of hip and knee replacement surgery: a systematic review and meta-analysis. BMJ Open 8(7):e021784. https:\/\/doi.org\/10.1136\/bmjopen-2018-021784","journal-title":"BMJ Open"},{"issue":"12","key":"4734_CR33","doi-asserted-by":"publisher","first-page":"1975","DOI":"10.1136\/annrheumdis-2012-202064","volume":"72","author":"E J\u00e4msen","year":"2013","unstructured":"J\u00e4msen E, Peltola M, Eskelinen A et al (2013) Comorbid diseases as predictors of survival of primary total hip and knee replacements: a nationwide register-based study of 96 754 operations on patients with primary osteoarthritis. Ann Rheum Dis 72(12):1975\u20131982. https:\/\/doi.org\/10.1136\/annrheumdis-2012-202064","journal-title":"Ann Rheum Dis"},{"key":"4734_CR34","first-page":"31","volume":"135","author":"B Loring","year":"2022","unstructured":"Loring B, Paine SJ, Robson B, Reid P (2022) Analysis of deprivation distribution in New Zealand by ethnicity, 1991\u20132013. N Z Med J 135:31\u201340","journal-title":"N Z Med J"},{"issue":"2","key":"4734_CR35","doi-asserted-by":"publisher","first-page":"300","DOI":"10.1111\/jep.13767","volume":"29","author":"KOB Appiah","year":"2023","unstructured":"Appiah KOB, Khunti K, Kelly BM et al (2023) Patient-rated satisfaction and improvement following hip and knee replacements: development of prediction models. J Eval Clin Pract 29(2):300\u2013311. https:\/\/doi.org\/10.1111\/jep.13767","journal-title":"J Eval Clin Pract"},{"issue":"7S","key":"4734_CR36","doi-asserted-by":"publisher","first-page":"S498","DOI":"10.1016\/j.arth.2022.02.042","volume":"37","author":"MN Orr","year":"2022","unstructured":"Orr MN, Klika AK, Emara AK et al (2022) Dissatisfaction after total hip arthroplasty associated with preoperative patient-preported outcome phenotypes. J Arthroplasty 37(7S):S498\u2013S509. https:\/\/doi.org\/10.1016\/j.arth.2022.02.042","journal-title":"J Arthroplasty"},{"key":"4734_CR37","unstructured":"Stats-NZ Our region: Bay of Plenty. https:\/\/www.stats.govt.nz\/infographics\/detailed-regional-infographics-from-2023-census\/our-region-bay-of-plenty\/#:~:text=Under%2015%20years:%2019.9%25%20%7C,to%20talk):%202.1%25%20%7C%206%2C948. Accessed 28 June 2024"},{"issue":"7\u20138","key":"4734_CR38","doi-asserted-by":"publisher","first-page":"683","DOI":"10.1111\/ans.14310","volume":"88","author":"JL Rahiri","year":"2018","unstructured":"Rahiri JL, Alexander Z, Harwood M et al (2018) Systematic review of disparities in surgical care for Maori in New Zealand. ANZ J Surg 88(7\u20138):683\u2013689. https:\/\/doi.org\/10.1111\/ans.14310","journal-title":"ANZ J Surg"},{"key":"4734_CR39","doi-asserted-by":"publisher","unstructured":"Gleeson C, Zhu M, Frampton C, Young S, Poutawera V, Mutu-Grigg J (2023) Ethnic differences in the utilization and outcome of patients undergoing total hip and knee arthroplasty in New Zealand. Bone Joint 105:51. https:\/\/doi.org\/10.1302\/1358-992X.2023.2.051","DOI":"10.1302\/1358-992X.2023.2.051"},{"key":"4734_CR40","doi-asserted-by":"publisher","first-page":"1","DOI":"10.3389\/fsurg.2022.970537","volume":"9","author":"C Yue","year":"2022","unstructured":"Yue C, Cui G, Ma M et al (2022) Associations between smoking and clinical outcomes after total hip and knee arthroplasty: a systematic review and meta-analysis. Front Surg 9:1\u201318. https:\/\/doi.org\/10.3389\/fsurg.2022.970537","journal-title":"Front Surg"},{"issue":"7","key":"4734_CR41","doi-asserted-by":"publisher","first-page":"1314","DOI":"10.1016\/j.arth.2022.03.009","volume":"37","author":"ST Reine","year":"2022","unstructured":"Reine ST, Xi Y, Chhabra A et al (2022) Does preoperative activity level affect postoperative outcomes following total hip arthroplasty? J Arthroplasty 37(7):1314\u20131319. https:\/\/doi.org\/10.1016\/j.arth.2022.03.009","journal-title":"J Arthroplasty"},{"key":"4734_CR42","doi-asserted-by":"publisher","unstructured":"Nicolau C, Mendes L, Ciriaco M et al (2022) Educational intervention in rehabilitation to improve functional capacity after hip arthroplasty: a scoping review. J Pers Med 12(5):656. https:\/\/doi.org\/10.3390\/jpm12050656","DOI":"10.3390\/jpm12050656"},{"key":"4734_CR43","unstructured":"Ronda J, Wojnarowski P (2013) Analysis of wear of polyethylene hip joint cup related to its positioning in patient\u2019s body. Acta Bioeng Biomech 15(1):77\u201386"}],"container-title":["European Journal of Orthopaedic Surgery &amp; Traumatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00590-026-04734-w.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00590-026-04734-w","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00590-026-04734-w.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T21:22:00Z","timestamp":1781644920000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00590-026-04734-w"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,2]]},"references-count":43,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,12]]}},"alternative-id":["4734"],"URL":"https:\/\/doi.org\/10.1007\/s00590-026-04734-w","relation":{},"ISSN":["1432-1068"],"issn-type":[{"value":"1432-1068","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,2]]},"assertion":[{"value":"26 November 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"15 March 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"2 April 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Two authors have disclosed paid presentations for Stryker in 2023; One author has a Training and Education contract for Stryker. All other authors declare that they have no actual or perceived conflict of interest to disclose.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"154"}}